Free Medical Fax Cover Sheet Template

MEDICAL FAX COVER SHEET

FAX

July 20, 2050

To: Dr. Lester Nolan

Company: [Your Company Name]

Company: SurePlus

Email: [Your Company Email]

Fax Number: (555) 987-6543

Contact Number: [Your Company Number]

Subject: Transfer of Patient Medical Records

Number of Pages: 7

  • Urgent

  • For Review

  • Please Respond


MESSAGE

Dear Dr. Nolan,

I hope this message finds you well. Enclosed, you will find the medical records for Mr. Lance Nader. He has requested that his care be transferred to your facility, and we are providing these records to facilitate that transition. The enclosed documents include a comprehensive account of his patient history, detailed treatment notes from his previous visits, and the most recent lab results pertinent to his health. We kindly ask that you confirm the receipt of these documents at your earliest convenience to ensure that everything is in order. Thank you for your attention to this matter.

If you find yourself in need of additional information or require further assistance, I encourage you not to hesitate to reach out and contact me directly. Thank you for your prompt attention to this matter.


Confidentiality Notice:

The information contained in this fax transmission is confidential and intended solely for the use of the individual or entity named above. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or taking any action in reliance on the contents of this fax is strictly prohibited. If you have received this fax in error, please notify us immediately by telephone and destroy the original message.


Sincerely,

[Your Name]

Medical Records Coordinator


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